Mich. Senate Budget Has No Medicaid Expansion

The Michigan Medicaid State Plan is an agreement between the state and federal government that identifies the general health care services, reimbursement, and eligibility policies in effect under Michigan Medicaid. It is the basis for the federal government (CMS/HHS) to pay its federal financial participation (FFP) for the program's operation. The plan is written on a more general level than contained in program policy.

An alternative proposal from House Republicans would expand Medicaid eligibility but limit nondisabled adults to four years of coverage. A waiver is needed from the Obama administration, and the Snyder administration and Democrats have doubts.

So for now, Medicaid expansion remains very much in doubt. Talks will continue as lawmakers try to finalize the state budget in coming weeks.

The federal health care law lets states make more people eligible for Medicaid. The federal government is offering to cover the entire cost of new Medicaid enrollees initially.

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